The Patient Centered Medical Home (PCMH)-- The PCMH is a new model for primary care redesign endorsed by the Pediatrics, Internal Medicine and Family Medicine specialty societies as well as many of the major healthcare payers (including the U.S. government).
Heart failure can be ongoing (chronic), or your condition may start suddenly (acute). Heart failure signs and symptoms may include: 1  Shortness of breath (dyspnea) when you exert yourself or when you lie down. 2  Fatigue and weakness. 3  Swelling (edema) in your legs, ankles and feet. 4  Rapid or irregular heartbeat. 5  Reduced ability to exercise. 6  Persistent cough or wheezing with white or pink blood-tinged phlegm.
You may not have any symptoms of heart failure, or the symptoms may be mild to severe. Symptoms can be constant, or can come and go.Symptoms are due to the changes that occur in your heart and body and include: 1  Shortness of breath or difficulty breathing with exercise, at rest, or when lying flat in bed.ou may not have any symptoms of heart failure, or the symptoms may be mild to severe. Symptoms can be constant, or can come and go.